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Individual
JILL WANG
Active
Individual
JILL WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APRN9269172
FL
363LF0000X
Family Nurse Practitioner
9269172
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9269172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177700
—
FL
Enumeration date
09/27/2012
Last updated
06/28/2024
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